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E&m pfsh

  1. Default E&m pfsh
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    Does anyone have any thoughts or guidelines on the following situation:

    A Provider will list a Past History in detail, a Social History in detail, but will state Family History is "None".

    Is this acceptable to consider PFSH is complete ?




    Thanks,

    Kavita Parab

  2. #2
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    Good morning,

    Per CMS:
    "If the physician is unable to obtain a history from the patient or other source, the record should describe the patientís condition or other circumstance which precludes obtaining a history."

    If the patient is considered an Established Patient (only need 2 of the 3 PFSH histories), then this could still be a Complete PFSH. If the patient is considered a New Patient (need all 3), then this should be a Pertinent PFSH since based on the information you are sharing, the provider is not giving any Family History.

    Hope that helps!
    "When you have exhausted all possibilities, remember this: You haven't!"
    -Thomas Edison

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